Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Panoptic Physical Therapy LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1053873513

Panoptic Physical Therapy LLC is a Physical Medicine & Rehabilitation Physician in Bourbonnais, Illinois. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1511 N Convent St Ste 1000
Bourbonnais, IL 60914-1497
Phone: (815) 401-5102
Fax: (815) 401-5103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1053873513
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry Panozzo — President · (815) 513-3298
NPI enumeratedApril 3, 2019
Last updated in NPPESDecember 5, 2019
Mailing address1802 North Division Street, Suite 202, Morris, IL 60450

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